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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High ESR Level

Dr my ESR level is 92 ,i get done my chest xray.its normal n ultra-sound of full body that si also normal.only ailment i have is my knee bones have enlarged with very less gap in them.no other disease history aso.please refer the reason n treatment or any test i may need.
Fri, 24 Oct 2014
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Diabetologist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. ESR is high suggesting sever inflammation.
2. However, possible osteoarthritis of knee wont cause such high level. Get a urine or serum examination of gamma globulin levels to rule out multiple myeloma.
3. Also need to rule out any autoimmune disorders, if multiple myeloma is negative. Get serum anti-nuclear antibody evaluation.
Hope it helps.
Any further queries, happy to help again.
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Suggest Treatment For High ESR Level

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. ESR is high suggesting sever inflammation. 2. However, possible osteoarthritis of knee wont cause such high level. Get a urine or serum examination of gamma globulin levels to rule out multiple myeloma. 3. Also need to rule out any autoimmune disorders, if multiple myeloma is negative. Get serum anti-nuclear antibody evaluation. Hope it helps. Any further queries, happy to help again.